目的：结合手术效果总结重症胰腺炎（S A P）术后引发的肝动脉的血栓（L A T）进行诊断和治疗的经验。方法：以2011年3月～2013年3月S A P患者术后发生LAT患者共4人为研究对象，通过比较患者手术前后的WBC（白细胞计数）、PLT（血小板计数）、ALT（谷丙转氨酶活力）和AST（谷草转氨酶活力）等水平，总结SAP术后LAT诊治经验。结果：SAP术后1～2月间患者ALT进行升高、常规疗效不佳，则应考虑LAT可能，并进行DSA和超声检查以确诊；采取溶栓手段疗效显著，在治疗1月后患者A L T等指标均明显降低（P＜0.05），且在12月后追踪时各指标降至正常范围。结论：S A P术后1～2月内以A L T等指标进行升高为特征，结合DSA和超声检查能判断LAT发生。采用溶栓方法进行医治，能使明显降低ALT等指标水平，且12月后复查效果良好。
objective: effect of combined surgery summary for severe acute pancreatitis (SAP) caused by hepatic artery thrombosis (LAT) for the diagnosis and treatment experience. Methods: in March 2011 ~ March 2013 SAP patients postoperative LAT, a total of 4 patients with study, by comparing before and after surgery in patients with the WBC (white blood cellcount), PLT platelet count (), ALT (alanine aminotransferase activity) and the level of AST (aspertate aminotransferase activity) and so on, summarizes the experience of diagnosis and treatment of postoperative LAT SAP. Results: after 1 ~ 2 months of SAP patients ALT rise, conventional curative effect is not good, should consider to LAT may, and DSA and ultrasound to diagnose; Resort curative effect is distinct, thrombolysis in patients after 1 month of therapy such as ALT indexes were significantly lower (P < 0.05), and in December after tracking when the index fel to the normal range. Conclusion: SAP postoperative 1 ~ 2 months is characterized by elevated ALT and other indexes, combined with DSA and ultrasound examination can determine LAT. Thrombolysis method is used to heal, can make significantly lower levels of indexes of ALT, and 12 month after the review result is good.
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